What is a COPD?
Do you have old people with chronic bronchitis in your family who report to the respiratory department as soon as the season changes? They are usually short of breath and labored to breathe, Seems to be coughing all the time, No spirit, Repeated pneumonia. Earlier, They were short of breath and short of breath only after they had done heavy work and climbed the mountain. Slowly, They find it difficult to breathe even when they walk on flat ground or climb stairs. Even at rest, they feel shortness of breath and tightness in the chest. This kind of patient is medically diagnosed as [chronic obstructive pulmonary disease], COPD). This is a common respiratory system disease, patients always feel unable to breathe. COPD is a disease with a large number of patients and a high rate of disability and death. Recent data in China show that one in 13 people over 40 years old is ill. Why should respiratory rehabilitation be carried out? Because COPD patients often feel tired, short of breath and dyspnea after activities, Many patients are reluctant to take part in manual labor, And gradually reduce their daily activities. The decrease in exercise further reduces cardiovascular adaptability. With the progress of COPD, The patient’s mobility will be further limited. Eventually, The more difficult it is to breathe, the more reluctant it is to move. The more motionless you are, the more difficult you are to breathe. And breathing recovers, Can just break this vicious circle, Many studies have found that after completing a stage of respiratory rehabilitation training, patients can carry out more daily activities, relieve the symptoms of dyspnea, have more energy than before treatment, significantly improve the overall quality of life, and respiratory rehabilitation can shorten the hospitalization days of more than one week per year. Notably, If the patient receives respiratory rehabilitation treatment, If you can’t maintain a certain level of exercise, the therapeutic effect will gradually decrease with the passage of time, while those patients who can maintain a certain amount of exercise, the effect of respiratory rehabilitation can last for several years. Therefore, it is an important measure to maintain physical fitness for COPD patients to insist on proper exercise. Does respiratory rehabilitation how do? At present, respiratory rehabilitation projects are not common in China. Patients can go to the respiratory department or rehabilitation department of the local second-and third-level hospital for consultation. Respiratory rehabilitation programs are usually arranged in outpatient or inpatient departments. A course of respiratory rehabilitation usually lasts for 6 to 12 weeks, At least three times a week, 20 to 30 minute each time. In order to quantify that effect of respiratory rehabilitation, Before treatment, the rehabilitation doctor or therapist should evaluate the patient’s function. Then put forward individualized exercise prescription. Patients don’t have to worry about walking unfast. Professional rehabilitation medical personnel will ensure the safety and effectiveness of patients’ exercise. If necessary, rehabilitation places will provide oxygen inhalation during patients’ exercise to improve exercise endurance. What are the specific items? Exercise training This is the most important part of respiratory rehabilitation. Including simple walking, power cycling, treadmill exercise or higher intensity ladder climbing exercise, Handcart training, weight lifting training, upper limb training to improve the ability of daily living activities, As well as respiratory muscle training that can enhance inspiratory muscle and abdominal muscle training, such as shrinking mouth and exhaling method, slow breathing method, thoracic movement degree, hunchback posture correction exercise, auxiliary cough training, etc. Although propaganda and education content cannot replace sports training, However, studies have shown that, Patients who can correctly understand the disease can better understand the symptoms and take appropriate actions. Therefore, Patients need to be taught to assess their symptoms correctly, Understand the effects, side effects, dosage and correct use of drugs, Safe and correct use of inhalers and oxygen, A better way to quit smoking, Energy-saving technologies in everyday life, The principle of healthy diet and the prevention of colds, etc. Psychological and behavioral correction Most patients with severe COPD have emotional disorders. such as depression, anxiety, depression, Emotional problems can interfere with normal life, Further aggravate the degree of disability. Relaxation exercises, stress reduction, emotional adjustment strategy exercises, Both help reduce dyspnea and anxiety. COPD patients with nutritional assessment and guided body mass index decline are more likely to die. Some patients are seriously ill, Eating will cause dyspnea, at this time, you need to eat a small amount of times. In addition, improving nutritional status can strengthen respiratory muscle strength, thus improving respiratory function. Is all patients suitable for respiratory recovery? Patients with the following conditions, Not suitable for respiratory rehabilitation: 1. Unstable angina pectoris 2. Recent myocardial infarction 3. Heart failure 4. Severe pulmonary hypertension 5. Obvious abnormal liver function. However, patients with stable chronic lung diseases are not limited to COPD patients. Patients with other lung diseases such as asthma, pulmonary fibrosis and patients before and after chest surgery have dyspnea and decreased exercise tolerance, which can benefit from respiratory rehabilitation training.